Shane Eugene Riley
Technician, Personal Care Attendant in Gerrardstown, WV. Individual provider (NPI-1).
NPI number1871192526
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1871192526
- Entity type
- Individual (NPI-1)
- Name
- Shane Eugene Riley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2020
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
5233 Apple Harvest DrGerrardstown, WV 25420-4136
Phone 304-821-5725
Mailing address
5233 Apple Harvest DrGerrardstown, WV 25420-4136
Phone 304-821-5725
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Other Personal Care Attendant providers in Gerrardstown, WV
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All 12 Personal Care Attendant providers in Gerrardstown · All 31 providers in Gerrardstown
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